<script type="text/javascript">
   $(document).ready(function(){
       $('#tgl_lahir,#tgl_masuk').datepicker({
           dateFormat: 'yy-mm-dd',
           changeMonth: true,
           changeYear: true
       });
//       function noSunday(date){ 
//          var day = date.getDay(); 
//          return [(day > 0), '']; 
//      }; 
   });
</script>

<div class="content">
<div class="content-header">
    <h3>Edit Dokter</h3>
    <div class="content-nav">
        <ul>
             <li><a class="nav-active" href=""><img src="{$BASEURL}/resource/doc/icon/edit.png" alt="" />Edit</a></li>
            <li><a href="{$strUrladd|default:''}"><img src="{$BASEURL}/resource/doc/icon/add.png" alt="" />Tambah</a></li>
            <li><a href="{$strUrllist|default:''}"><img src="{$BASEURL}/resource/doc/icon/list.png" alt="" />List</a></li>
        </ul>
    </div>
    <div class="clear"></div>
</div>
{include file="base/templates/notification.html"}
<br />
<form accept-charset="utf-8" method="post" action="{$strUrlsave|default:''}">
    <table width="100%" class="table-form">
        <tbody>
        <input type="hidden" size="30" maxlength="20" name="id_dokter" value="{$strPoliData['id_poli']}" />
            <tr>
                <th colspan="2">Edit Data Dokter</th>
            </tr>
            <tr style="border-bottom:1px solid #B4B4B4">
                <td colspan="2" style="color: red">Form dengan tanda (*) harus diisi.</td>
            </tr>
            <tr style="border-bottom:1px solid #B4B4B4">
                <td width="10%">Kode Poli</td>
                <td width="75%"><input type="text" size="30" maxlength="20" name="name" value="{$strPoliData['id_poli']}" /></td>
            </tr>
            <tr style="border-bottom:1px solid #B4B4B4">
                <td width="10%">Nama Poli</td>
                <td width="75%"><input type="text" size="30" maxlength="20" name="username" value="{$strPoliData['nama']}" /></td>
            </tr>
           
            <tr>
                <td>
                    <input type="submit" class="button" value="Submit" name="" />
                    <input type="reset" class="button" value="Reset" name="" />
                </td>
                <td></td>
            </tr>
        </tbody>
    </table>
</form> 
</div>